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See a sample rate comparisonCPT 33736 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery For Heart Defect, Surgery To Repair One Or More Structural Defects Of The Valves Major Blood Vessels Or Chambers Of The Heart. The Procedure May Move Blood Vessels Reconstruct Valves And Repair The Wall Between The Chambers (Septum).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $1,343.38 national non-facility rate (2026) · View Medicare rates for 33736 |
| Medicaid Fee Schedule | $1,049.97 median of the 8 states in the free preview · View Medicaid rates for 33736 |
National average reimbursement for CPT 33736 by major payers:
$1,865.17
$1,959.14
$2,080.08
$2,280.75
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CPT 33736
5 of 25 sample ratesHigher to lower in this preview
Kennedy Cherry Hill Surgical Center LLC, Jefferson Surgery Center - Cherry Hill
Kennedy Cherry Hill Surgical Center LLC
$2,870.00Published rateUniversity Orthopedics, Inc., Uoi-East Bay Surgery Center
$1,141.00Published rateSyringa Surgical Center
Syringa Surgical Center, LLC
$720.00Published rateLubbock Vascular Access Center
Lubbock Interventional Nephrology Associates PA
$410.00Published rateThe Harlingen Endoscopy Center Lp, Valley Endoscopy Center
The Harlingen Endoscopy Center Lp
$112.00Published rate
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See a sample payer proposalCPT 33736 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33736 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 33736 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 33697-CPT | High | Surgery For Heart Defect, Surgery To Repair One Or More Defects Involving Valves Blood Vessels Or Heart Chambers. The Procedure Can Involve Moving Blood Vessels Reconstructing Or Repairing Valves Or Repairing The Wall Between The Chambers (Septum). |
| 33735-CPT | High | Surgery For Heart Defect, Surgery To Repair One Or More Structural Defects Of The Valves Major Blood Vessels Or Chambers Of The Heart. The Procedure May Move Blood Vessels Reconstruct Valves And Repair The Wall Between The Chambers (Septum). |
| 33736-CPT | High | Surgery For Heart Defect, Surgery To Repair One Or More Structural Defects Of The Valves Major Blood Vessels Or Chambers Of The Heart. The Procedure May Move Blood Vessels Reconstruct Valves And Repair The Wall Between The Chambers (Septum). |
| 33745-CPT | High | Tis Cgen Car Anomal 1st Shnt, Transcatheter Intracardiac Shunt Tis Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow Including All Imaging Guidance By The Proceduralist When Performed Left And Right Heart Diagnostic Cardiac Catheterization For Congenital Cardiac Anomalies And Target Zone Angioplasty When Performed Eg Atrial Septum Fontan Fenestration Right Ventricular Outflow Tract Mustard Senning Warden Baffles Initial Intracardiac Shunt |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33736. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33736 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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